Individual provider Active NPI

Kiersten Banke

  • Physical Therapist
  • Danville, CA
National Provider Identifier
1295545200
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307469 Issued in CA
Practice address
315 Diablo Rd Ste 110
Danville, CA 94526-3409
Phone
(925) 855-8350
NPI assigned
Jan 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 307469 CA Primary

Addresses

Primary practice location

315 Diablo Rd Ste 110
Danville, CA 94526-3409

Mailing address

1468 Greenlawn Dr
Danville, CA 94526-5105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228000675 CA Practitioner - Physical Therapist in Private Practice 0345760799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barman and Sargent Inc 15 clinicians

Practice addresses (Care Compare)

315 Diablo Rd
Danville, CA 94526-3409
Phone (925) 855-8343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barman & Sargent Inc Physical Therapist CurrentSince Jan 9, 2025 Accepting new patients
Barman & Sargent Inc CurrentSince Jan 9, 2025 Accepting new patients

Locations

315 Diablo Rd
Ste 110
Danville, CA 94526
Phone (925) 855-8343

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1295545200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 GREENLAWN DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945265105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 DIABLO RD STE 110",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263409",
            "telephone_number": "925-855-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKE",
        "first_name": "KIERSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.